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FORMS FOR ACCOMMODATION, CAMPING, AND TENTED ACCOMMODATION

Please fill in the appropriate form and click SUBMIT (details are sent to Matthew & Tina's email address)

(Alternatively, you may want to print from your browser after filling it in, and then fax the form)

 

APPLICATION FORM FOR ACCOMMODATION  (Campers - see next form;  For tented accommodation - see last form)

Direct Bank Payments
bulletAccount Name: Reformed Conference
bulletAccount Number: 1905153953
bulletBank: Nedbank (Current a/c) Branch: Florida (branch code not required)
Cheques may be deposited directly into our bank account. Please confirm booking by FAXING DEPOSIT SLIP + YOUR NAME AS REFERENCE + COPY OF YOUR APPLICATION FORM TO PIETERSE: 0880116724141 (even if you have previously submitted an application form). Electronic transfers, with your NAME as beneficiary reference, may be done & receipt emailed to mpieterse@erc.za.org or gracecc1@telkomsa.net
   Discount required (family in 1 unit)?    
Details of ALL attending conference No

Cost per person

TOTALS

 Surname and names of all attending conference (helps with planning of accommodation)

Ages of all attending
Surname First Name
No. of Adults

R1300

No. of Scholars (13-18)

R1250

No. of Scholars (7-12)

R1000

No. of Children (4-6)

R 600

No. of Babies ( <  3 if meals requ'd)

R 300

Do you  need a cot?

TOTAL TO PAY

Postal Address

E-Mail Address

Home Address

Church

Phone No (Home)

Phone No (Work) Is this your first visit?    
Fax No (Home) Fax No (Work) Comments

TRANSPORT
Can you offer a lift?

How many?

When? (Day) Time

 

 

 

 

 

 

 

 

 

APPLICATION FORM FOR CAMPERS

Direct Bank Payments
bulletAccount Name: Reformed Conference
bulletAccount Number: 1905153953
bulletBank: Nedbank (Current a/c) Branch: Florida (branch code not required)
Cheques may be deposited directly into our bank account. Please confirm booking by FAXING DEPOSIT SLIP + YOUR NAME AS REFERENCE + COPY OF YOUR APPLICATION FORM TO PIETERSE: 0880116724141 (even if you have previously submitted an application form). Electronic transfers, with your NAME as beneficiary reference, may be done & receipt emailed to mpieterse@erc.za.org or gracecc1@telkomsa.net
Details of ALL attending conference No

Cost per person

TOTALS

 Surname and names of all attending conference (helps with planning of accommodation)

Ages of all attending
Surname First Name
No. of Adults

R 375

No. of Scholars (7-18)

R 325

No. of Children (4-6)

R 0

 

No. of Babies ( <  3 )

R 0

 

 

 

TOTAL TO PAY

Postal Address

E-Mail Address

Home Address

Church

Phone No (Home)

Phone No (Work) Is this your first visit?          
Fax No (Home) Fax No (Work) Comments

TRANSPORT
Can you offer a lift?

How many?

When? (Day) Time

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPLICATION FORM FOR TENTED ACCOMMODATION 

Direct Bank Payments
bulletAccount Name: Reformed Conference
bulletAccount Number: 1905153953
bulletBank: Nedbank (Current a/c) Branch: Florida (branch code not required)
Cheques may be deposited directly into our bank account. Please confirm booking by FAXING DEPOSIT SLIP + YOUR NAME AS REFERENCE + COPY OF YOUR APPLICATION FORM TO PIETERSE: 0880116724141 (even if you have previously submitted an application form). Electronic transfers, with your NAME as beneficiary reference, may be done & receipt emailed to mpieterse@erc.za.org or gracecc1@telkomsa.net
Details of ALL attending conference No

Cost per person

TOTALS

 Surname and names of all attending conference (helps with planning of accommodation)

Ages of all attending
Surname First Name
No. of Adults

R1000

No. of Scholars (13-18)

R950

No. of Scholars (7-12)

R 950

No. of Children (4-6)

R 500

No. of Babies ( <  3 if meals requ'd)

R 0

Do you  need a cot?

TOTAL TO PAY

Postal Address

E-Mail Address

Home Address

Church

Phone No (Home)

Phone No (Work) Is this your first visit?          
Fax No (Home) Fax No (Work) Comments

TRANSPORT
Can you offer a lift?

How many?

When? (Day) Time

 

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Last modified: July 01, 2008